Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $100.00	Professional		$44.67	$72.44	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $194.98	Facility		$95.50	$114.82	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $134.90	Professional		$128.82	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Facility		$60.26	$60.26	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $91.20 / $123.03	Facility		$28.84	$91.20	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $123.03	Professional		$100.00	$117.49	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $104.71	Professional		$30.20	$30.20	$104.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $117.49 / $117.49	Facility		$114.82	$117.49	$117.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $134.90	Professional		$85.11	$85.11	$134.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $123.03	Professional		$91.20	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $60.26 / $67.61	Facility		$56.23	$60.26	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $44.67 / $69.18	Professional		$41.69	$44.67	$69.18